Login to MyKarger

New to MyKarger? Click here to sign up.



Login with Facebook

Forgot your password?

Authors, Editors, Reviewers

For Manuscript Submission, Check or Review Login please go to Submission Websites List.

Submission Websites List

Institutional Login
(Shibboleth or Open Athens)

For the academic login, please select your country in the dropdown list. You will be redirected to verify your credentials.

Original Paper

Epidemiological Study of Chronic Tinnitus in Assiut, Egypt

Khedr E.M.a · Ahmed M.A.a · Shawky O.A.a · Mohamed E.S.b · El Attar G.S.c · Mohammad K.A.d

Author affiliations

Departments of aNeurology, bAudiology, cPublic Health and Community Medicine, and dPsychiatry, Assiut University Hospital, Assiut, Egypt

Related Articles for ""

Neuroepidemiology 2010;35:45–52

Do you have an account?

Login Information





Contact Information










I have read the Karger Terms and Conditions and agree.



Login Information





Contact Information










I have read the Karger Terms and Conditions and agree.



To view the fulltext, please log in

To view the pdf, please log in

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.


Save over 20% compared to the individual article price.
Learn more

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restrictions apply

Rental: USD 8.50
Cloud: USD 20.00


Select

Subscribe

  • Access to all articles of the subscribed year(s) guaranteed for 5 years
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates


Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: December 03, 2009
Accepted: April 02, 2010
Published online: April 08, 2010
Issue release date: July 2010

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 7

ISSN: 0251-5350 (Print)
eISSN: 1423-0208 (Online)

For additional information: https://www.karger.com/NED

Abstract

Background and Aim: Few comprehensive epidemiological studies of the prevalence of tinnitus have been undertaken, and none has been carried out in Egypt. A community-based survey was conducted in the Assiut Governorate to estimate the prevalence of tinnitus, its associations with psychiatric disorders and its effect on the quality of life. Material and Methods: The study involved 8,484 subjects, 5,783 (68.2%) from the rural community and 2,701 (31.8%) from the urban community. Patients were identified from a door-to-door survey and evaluated using a semistructured questionnaire, the Tinnitus Handicap Inventory and the Hamilton Anxiety and Depression Scales. Results: Four hundred and thirty-nine patients with tinnitus were found, giving a prevalence of 5.17 tinnitus cases/100 inhabitants. Males and females were equally affected. The highest age-specific prevalence rate was recorded among subjects above 60 years (17.66%) and was significantly higher among urban than rural inhabitants (6.3 vs. 4.6%) and among illiterate than among educated persons (10.15 vs. 3.07%). A majority of patients (53.3%) had some hearing loss; otitis media was common. Only 15.2% of cases were classified as having severe to catastrophic tinnitus. Nearly two thirds had a degree of depression. There were significant correlations between the severity of tinnitus and the degree of hearing loss, temporomandibular joint pain and the Hamilton depression score. Sleep disturbance was reported by 39.4% of subjects. Life enjoyment was severely affected in 15% of tinnitus patients. Conclusion: Tinnitus is a common problem in our locality, especially in older adults, and is associated with some modifiable risk factors.

© 2010 S. Karger AG, Basel


References

  1. Brown SC: Older Americans and Tinnitus: A Demographic Study and Chart Book. GRI Monogr Ser A, No 2. Washington, Gallaudet Research Institute, Gallaudet University, 1990.
  2. Davis AC: Hearing in Adults. London, Whurr Publishers, 1995.
  3. Hinchcliffe R: Prevalence of the commoner ear, nose and throat conditions in the adult rural population of Great Britain. Br J Prev Soc Med 1961;15:128–140.
  4. Leske MC: Prevalence estimates of communicative disorders in the US: language, learning and vestibular disorders. ASHA 1981;23:229–237.
  5. Office of Population Census and Surveys: General household survey: the prevalence of tinnitus 1981. OPCS Monitor (reference GHS83/1). London, Office of Population Statistics, 1983.
  6. Sindhusake D, Mitchell P, Newall P, Golding M, Rochtchina E, Rubin G: Prevalence and characteristics of tinnitus in older adults: the Blue Mountain Hearing Study. Int J Audiol 2003;42:289–294.
  7. Davis AC, Refaie AE: Epidemiology of tinnitus; in Tyler R (ed): Tinnitus Handbook. San Diego, Singular, 2000, pp 1–23.
  8. Henry JL, Wilson PH: The Psychological Management of Chronic Tinnitus. Needham Heights, Allyn & Bacon, 2001.
  9. Hazell J: Management of tinnitus; in Ludman H, Wright T (eds): Diseases of the Ear. London, Arnold, 1998, pp 202–215.
  10. Dobie RA: Overview: suffering from tinnitus; in Snow JB Jr (ed): Tinnitus: Theory and Management. Lewiston, Decker, 2004, pp 1–7.
  11. Tyler RS, Noble W, Preece JP, Dunn CC, Witt SA: Psychological treatments for tinnitus; in Snow JB Jr (ed): Tinnitus: Theory and Management. Lewiston, Decker, 2004, pp 314–323.
  12. McFadden D: Tinnitus – Facts, Theories and Treatments. Washington, National Academy Press, 1982.
  13. Newman CW, Jacobson GP, Spitzer JB: Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg 1996;122:143.
  14. McCombe A, Baguley D, Coles R, et al: Guidelines for the grading of tinnitus severity: the results of a working group commissioned by the British Association of Otolaryngologists, Head and Neck Surgeons, 1999. Clin Otolaryngol 2001;26:388–393.
  15. Roeser RG, Buckley KA, Stickney GS: Pure tone tests; in Roeser RG, Valente M, Hosford-Dunn H (eds): Audiology, Diagnosis. New York, Thieme Medical Publishers, 2000, pp 227–251.
  16. Hamilton M: The assessment of anxiety states by rating. Br J Med Psychol 1959;32:50–55.
  17. Hamilton M: A rating scale for depression. J Neurol Neurosurg Psychiatry 1960;23:56–62.
  18. Stephens SDG: Historical aspects of tinnitus; in Hazell JWP (ed): Tinnitus. New York, Churchill Livingstone, 1987, pp 1–19.
  19. Nondahl DM, Cruickshanks KJ, Wiley TL, et al: Prevalence and 5-year incidence of tinnitus among older adults: the epidemiology of hearing loss study. J Am Acad Audiol 2002;13:323–331.
  20. Beck LB, Campbell KC, Chandler DW, Dennis KC, Hedges AM, Mc Brine C, et al: Hearing impairment: independent study course. New York, Department of Veterans Affairs Employee System, 2002.
  21. Perry BP, Gantz BJ: Medical and surgical evaluation and management of tinnitus; in Tyler RS (ed): Tinnitus Handbook. San Diego, Singular, 2000, pp 221–241.
  22. Meikle MB, Creedon TA, Griest SE: Tinnitus archive, ed 2. http://www.tinnitusarchive.org/ (accessed April 29, 2004).
  23. Jastreboff MM, Jastreboff PJ: Questionnaires for assessment of the patients and their outcomes; in Hazell JWP (ed): Proceedings of the Sixth International Tinnitus Seminar 1999. London, The Tinnitus and Hyperacusis Centre, 1999, pp 487–491.
  24. Parnes SM: Current concepts in the clinical management of patients with tinnitus. Eur Arch Otorhinolaryngol 1997;254:406–409.
  25. Heller AJ: Classification and epidemiology of tinnitus. Otolaryngol Clin North Am 2003;36:239–248.
  26. Mills RP, Albert DM, Brain CE: Tinnitus in childhood. Clin Otolaryngol Allied Sci 1986;11:431–434.
  27. Chung DY, Gannon RP, Mason K: Factors affecting the prevalence of tinnitus. Audiology 1984;23:441–452.
  28. Adams PF, Hendersot GE, Marano MA: Current estimates from the National Health Interview Survey, 1996. Vital Health Stat 10. Hyattsville, National Center for Health Statistics, 1999, pp 81–103.
  29. Savastano M: Tinnitus with or without hearing loss: are its characteristics different? Eur Arch Otorhinolaryngol 2008;265:1295–1300.
  30. National Center for Health Statistics: Hearing status among adults, United States, 1960–1962. Washington, US Department of Health, Education and Welfare, 1968.
  31. Davis AC: The prevalence of hearing impairment and reported hearing disability among adults in Great Britain. Int J Epidemiol 1989;18:911–917.
  32. Dauman R, Tyler RS: Some considerations on the classification of tinnitus; in Aran J-M, Dauman R (eds): Proceedings of the Fourth International Tinnitus Seminar, Bordeaux, France. Amsterdam, Kugler, 1992, pp 225–229.
  33. Shulman A: Epidemiology of tinnitus; in Shulman A, Aran J, Tonndorf J, et al (eds): Tinnitus: Diagnosis/Treatment. Philadelphia, Lea & Febiger, 1991, pp 237–247.
  34. Coles RRA: Epidemiology of tinnitus. 2. Demographic and clinical features. J Laryngol Otol Suppl 1984;9:195–202.
  35. Axelsson A, Nilsson S, Coles R: Tinnitus information: a study by questionnaire. Audiology 1995;34:301–310.
  36. Jastreboff PJ: Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurosci Res 1990;8:221–254.
  37. Barnea G, Attias J, Gold S, Shahar A: Tinnitus with normal hearing sensitivity: extended high-frequency audiometry and auditory-nerve brain-stem-evoked responses. Audiology 1990;29:36–45.
  38. Levine M: Somatic (craniocervical) tinnitus and the dorsal cochlear nucleus hypothesis. Am J Otolaryngol 1999;20:351–360.
  39. Camparis CM, Formigoni G, Teixeira MJ, de Siqueira JT: Clinical evaluation of tinnitus in patients with sleep bruxism: prevalence and characteristics. J Oral Rehabil 2005;32:808–814.
  40. Bernhardt O, Gesch D, Schwahn C, Bitter K, Mundt T, Mack F, Kocher T, Meyer G, Hensel E, John U: Signs of temporomandibular disorders in tinnitus patients and in population-based group of volunteers: results of the study of health in Pomerania. J Oral Rehabil 2004;31:311–319.
  41. McKenna L, Hallam RS, Hinchcliffe R: The prevalence of psychological disturbance in neuro-otology outpatients. Clin Otol 1991;16:452–456.
  42. Tyler RS, Baker LJ: Difficulties experienced by tinnitus sufferers. J Speech Hear Disord 1983;48:150–154.
  43. Slater R: On helping people with tinnitus to help themselves. Br J Audiol 1987;21:87–90.
  44. Erlandsson SI, Hallberg LRM: Prediction of quality of life in patients with tinnitus. Br J Audiol 2000;34:11–20.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: December 03, 2009
Accepted: April 02, 2010
Published online: April 08, 2010
Issue release date: July 2010

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 7

ISSN: 0251-5350 (Print)
eISSN: 1423-0208 (Online)

For additional information: https://www.karger.com/NED


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.